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Mid-Ohio Valley Physical Medicine

Physical Medicine & Rehabilitation Physician in Marietta, OH · enumerated 2007 · authorized official David Lacey, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700098811

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Mid-Ohio Valley Physical Medicine
Practice address 400 Matthew Street, Suite 306, Marietta, OH, 45750
Fax (740) 374-1792
Enumeration date May 3, 2007
Last updated in NPPES Jul 17, 2007

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 35066931L (OH) Primary
2081P0004X Spinal Cord Injury Medicine Physician Allopathic & Osteopathic Physicians · License 35066931L (OH) Secondary
2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 35066931L (OH) Secondary
2084N0600X Clinical Neurophysiology Physician Allopathic & Osteopathic Physicians · License 35066931L (OH) Secondary

Authorized official

Name David Lacey
Title President

Other identifiers

Identifier Type State Issuer
L0982950 Medicaid OH -
0113577000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Mid-Ohio Valley Physical Medicine?
Mid-Ohio Valley Physical Medicine is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-17.